Nurse Practitioner, Family
COLUMBUS CHRONIC CARE MEDICAL CENTER LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295122521 · enumerated 2015-04-24 · record updated 2022-07-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MULLLISSA CHILDRESS FNP, CEO · (614) 496-8420
Addresses and phones
- Practice location 506 MCCUTCHEON RD, GAHANNA, OH, 43230-5001 (614) 496-8420 Google Maps Apple Maps OpenStreetMap
- Mailing address 5300 BRIGHT SUN CT, LAS VEGAS, NV, 89130-3728 (614) 496-8420 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center 261Q00000X
- Nurse Practitioner, Family 363LF0000X · Primary · License 16446-NP OH
In this directory
Locations and evidence
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Practice location
GAHANNA, OH, 432305001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.